Transurethral resection of the bladder is a surgical procedure that is used to diagnose bladder cancer and to remove cancerous tissue from the bladder.
This is an endoscopic procedure which requires either general or spinal anesthesia. The instrument used to remove the tumor is put into the bladder through the urethra (the tube that carries urine from the bladder out of the body). Attached to this scope is a small electrified loop of wire which is moved back and forth through the tumor to cut and remove the tissue. The tumor is then sent to a Pathologist to determine the stage and grade of the cancer. At times, your doctor may recommend to return in 6 weeks and re-biopsy the area to ensure accurate staging. In some patients, the doctor may instill an intravesical chemotherapy drug into the bladder which may reduce the chances of future tumor recurrences. Mitomycin C is a common drug used for this purpose.
After the procedure, you may be sent home with a catheter. It may take a few days or a few weeks to completely heal. Blood in the urine can continue for a few weeks. Your doctor will help you decide if you need additional treatment based on the Pathology Report.